Shannon Ursula Waterman, MD
General Practice Physician · Tacoma, WA
Shannon Ursula Waterman, MD is a general practice physician with a practice address in Tacoma, Washington, and NPI 1649279860, issued on Jul 19, 2005. Check the license (Washington MD00041919, as entered in NPPES) on the Washington Medical Commission; the Medicare figures below come from public CMS files.
- Name
- Shannon Ursula Waterman
- Credential
- MD
- Primary taxonomy
- General Practice Physician 208D00000X
- License numbers
- MD00041919 WA
025209MD00041909 WA
Self-reported in NPPES; status is on the state search - Practice location
- 11225 Pacific Avenue, Tacoma, WA 98444
- Phone
- (253) 536-2020
- Enumerated
- Jul 19, 2005
- Record last updated
- Aug 5, 2009 (not updated in 17 years: call before relying on the address or phone)
- Fax
- (253) 536-5327
- Medicaid IDs
- 8505422 WA
41383885 NM - Entity
- Type 1 · individual
8 nearest general practice physician records → All 388 in Washington → Look up another NPI →
Also registered at 11225 Pacific Avenue
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Carri Timmer, D.O.Family Medicine Physician1033344791
Verify Shannon Ursula Waterman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWashington Medical Commission
Search for license MD00041919Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
43% more Medicare Part D claims than the average general practice physician in 2024
4,340 Medicare Part D claims for 485 beneficiaries, against an average of 3,030 among the 8,395 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 70 claims were for opioids.
Most prescribed
- Amlodipine Besylate316 claims
- Atorvastatin Calcium284 claims
- Losartan Potassium224 claims
- Lisinopril175 claims
- Levothyroxine Sodium159 claims
- Metoprolol Succinate132 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Shannon Ursula Waterman among 388 general practice physician records in Washington
Shannon Ursula Waterman, MD is one of 388 general practice physician records with a practice address in Washington. 28% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 97% newer
- In a Medicare fileYes · 28% of these records are
- In the CMS Doctors and Clinicians fileNo · 11% of these records are
- Record last updated2009 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208D00000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
167 general practice physician records list a practice address in Tacoma
They are 167 of the 13,715 NPPES records with a practice address in Tacoma, and 388 general practice physician records in Washington.
All 388 in Washington → Every provider in Tacoma → General Practice Physician nationwide →
The 8 general practice physician records with the nearest ZIP codes
- Glenn Kietzer, MDTacoma, WA 984441003847179
- John Maiorca, MDTacoma, WA 984441174555239
- Scott AndersonTacoma, WA 984311609680305
- Brent Bubany, MDTacoma, WA 984311902610272
- Nicholas Diacou, DOTacoma, WA 984311558105163
- Jacob FarrTacoma, WA 984311285490946
- David Fields, MDTacoma, WA 984311316704315
- Reileigh FleeherTacoma, WA 984311659222412
Common questions
What is Shannon Ursula Waterman, MD's NPI number?
Shannon Ursula Waterman, MD's National Provider Identifier (NPI) is 1649279860, issued on Jul 19, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Shannon Ursula Waterman, MD located?
The NPPES record lists a practice address at 11225 Pacific Avenue, Tacoma, WA, 98444. Phone: (253) 536-2020. Providers update this record themselves, so call before visiting.
How can I verify Shannon Ursula Waterman, MD's license?
NPPES lists Washington license number MD00041919, as entered by the provider. Search the Washington Medical Commission at https://wahelms.my.site.com/s/license-search. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Shannon Ursula Waterman, MD prescribe under Medicare Part D?
In 2024, Shannon Ursula Waterman, MD had 4,340 Medicare Part D claims for 485 beneficiaries; the average among general practice physician prescribers was 3,030. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.